| NPI | 1629651328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09928163) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009922767) |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2022-04-04 |